Week 30 update

I went to the doctor on Sept 2. I was 30 weeks and 1 day. This is the FIRST time I actually got to meet a doctor. The other two times was a Nurse Practitioner. The way it works with Vanderbilt is typical for a large facility. Due to the high risk pregnancy, I am in the Materal Fetal Medicine Clinic. If I go into spontaneous labor and it's not during the normal work hours, the MFM doctors won't deliver me anyway. (I'm delivering at Vanderbilt.) If I feel it is an emergency, I will just go the the local ER (Gateway Hospital) and they can speak with the Vanderbilt doctors to determine if I need to be transferred to Nashville or not. Chances are I will be at Vanderbilt. I hate this because it will be more difficult for family and friends to come visit me and the baby. The other hesitation is the drive. If there is no traffic, we can get there in 45 minutes. If there is traffic, I'm afraid I would deliver on the way since this is my fourth child. I'm sure it will all work out though.



The appointment was good. She wants me to see an Opthamologist, Podiatrist, Pediatric Specialists, etc. The Pediatric Specials with do a fetal EKG ultrasound. Apparently, there could be some risks with diabetic patients and the baby's heart. Although they haven't seen anything on all the ultrasounds they've done, they believe it would be best for a specialist to perform this tests.



The doctor's continue to adjust my insulin weekly. As the pregnancy continues, so do my hormones and my insulin tolerance. They say after the baby is born my glucose levels will be more normal.



She measured my stomach. I was measured at 33 weeks instead of 30 weeks. The growth ultrasound shows the baby already at 3 pounds 12 ounces. The previous ultrasound 3 weeks earlier he was only 2 pounds and 8 ounces. They don't know if the baby is a little big due to the diabetes or if the due date is not accurate. Nevertheless, they will not change the due date. If I don't have the baby by my 39th week (Nov 3) they will just induce me.



Strangely enough, I didn't gain ANY weight since the previous appointment 2 weeks earlier. That was the first time that's ever happened. At this point I've gained 25 pounds since February. This is not bad for me. With Carlos I gained 60 pounds, with Trey I gained 80 pounds, and with Damon I gained 40 pounds. Let's hope I don't gain another 20 pounds before I deliver because I really will be topping the scales!!!



Starting at 32 weeks, I will be having 2 appointments each week for non-stress ultrasound test. They test the baby's movement and breathing. I will also have weekly doctor visits. That means I'll be in Nashville ALOT. They are trying to work with a local OB office to do the non-stress tests on Mondays so that I only have to drive to Nashville on Thursdays. Hopefully, it will all work out.